Author Question: The nurse in a pediatric health care setting is using Piaget as a developmental model for client ... (Read 34 times)

imanialler · **on:** Jul 22, 2018

The nurse in a pediatric health care setting is using Piaget as a developmental model for client assessment. According to Piaget, during which of the following developmental stages does the child understand the concept of ice becoming water?

a. Sensorimotor
b. Preoperational
c. Concrete operations
d. Formal operations

Question 2

The student nurse is working with a client who has asthma. The primary nurse tells the student that wheezes can be heard on auscultation. Which of the following should the student expect to hear?

a. Coarse crackles and bubbling
b. High-pitched musical sounds
c. Dry, grating noises
d. Loud, low-pitched rumbling

dlook33 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
During Piaget's concrete operations stage of cognitive development, the child is able to under-stand that objects or quantities remain the same despite a change in their physical appearance, such as when ice becomes water.
During Piaget's sensorimotor stage of cognitive development, the child is exploring the envi-ronment, but is unable to understand the concept of ice becoming water.
During Piaget's preoperational stage of cognitive development, the child is learning to think with the use of symbols and mental images but is unable to understand the concept of ice becoming water.
According to Piaget's formal operations stage of cognitive development, the individual's think-ing moves to abstract and theoretical subjects.

Answer to Question 2

B
Wheezes are high-pitched musical noises that sound like a squeak. Wheezes are heard continu-ously during inspiration or expiration, and are usually louder on expiration.
Coarse crackles and bubbling are not descriptive of wheezes.
Dry, grating noises are heard with a pleural friction rub.
Loud, low-pitched rumbling is characteristic of rhonchi.